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Open Access 01-12-2012 | Case report

Incidental renal cell carcinoma presenting in a renal transplant recipient with autosomal dominant polycystic kidney disease: a case report

Authors: Toshihiro Misumi, Kentaro Ide, Takashi Onoe, Masataka Banshodani, Hirofumi Tazawa, Yoshifumi Teraoka, Ryuichi Hotta, Masahiro Yamashita, Hirotaka Tashiro, Hideki Ohdan

Published in: Journal of Medical Case Reports | Issue 1/2012

Abstract

Introduction

We report an instructive case of incidental renal cell carcinoma in a patient with autosomal dominant polycystic kidney disease who underwent simultaneous bilateral native nephrectomy and living donor renal transplantation.

Case presentation

A 57-year-old Asian man with end-stage kidney disease due to autosomal dominant polycystic kidney disease received a living kidney graft from his brother. Because of recurrent infection, chronic pain and enlarged kidneys, he underwent a bilateral nephrectomy with concomitant renal transplantation. The total weight of the removed kidneys was 6kg; the maximal diameter of the larger kidney was 28cm. His left kidney had a 1cm diameter tumor. Pathology indicated papillary renal cell carcinoma. At the time of this report, the transplant kidney function was normal with no evidence of local recurrence or distant metastasis.

Conclusion

This case shows and reinforces the importance of considering the possibility of an occult malignancy in the native kidneys of patients with autosomal dominant polycystic kidney disease. Simultaneous bilateral native nephrectomy should be considered in these renal transplant recipients not only for preventing the development of adverse symptoms but also for detecting an occult malignancy.

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Title: Incidental renal cell carcinoma presenting in a renal transplant recipient with autosomal dominant polycystic kidney disease: a case report
Authors: Toshihiro Misumi
Kentaro Ide
Takashi Onoe
Masataka Banshodani
Hirofumi Tazawa
Yoshifumi Teraoka
Ryuichi Hotta
Masahiro Yamashita
Hirotaka Tashiro
Hideki Ohdan
Publication date: 01-12-2012
Publisher: BioMed Central
Published in: Journal of Medical Case Reports / Issue 1/2012
Electronic ISSN: 1752-1947
DOI: https://doi.org/10.1186/1752-1947-6-154

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Incidental renal cell carcinoma presenting in a renal transplant recipient with autosomal dominant polycystic kidney disease: a case report

Abstract

Introduction

Case presentation

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction

Case presentation

Conclusion

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